HOMETOWN PHARMACY MANAGEMENT LLC NPI 1295035327

NPI Details

HOMETOWN PHARMACY MANAGEMENT LLC is a pharmacy in Doniphan, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HOMETOWN PHARMACY MANAGEMENT LLC NPI is 1295035327. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Pharmacy.

The provider's business location address is:

110 LEROUX STREET
DONIPHAN, MO
ZIP 63935-000
Phone: (573) 996-4000
Fax: (573) 996-3239

The provider's authorized official is Christine M Coffman .
The authorized official title is Owner/pharmacist and has the following contact phone number (417) 926-9655.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 10/22/2010 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.